School Form 1 (SF 1)
School Form 1 (SF 1)
School Name Lianga National Comprehensive National High School ID 304859 District Lianga
Division Surigao
Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand
Section G12 TVL - DE CASTRO Course (for TVL only) Dressmaking (NC II), Tailoring (NC II)
Sex (M/F)
NAME BIRTH DATE as of
LRN Religious Affilication Mother's Maid
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Octob Father's Name (Last
er 31st Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mi
Name)
Name)
REBUYAS,RO
SURIGAO DEL GAROPEL, NOEL
132748080008 GAROPEL,NOELBER REBUYAS M 12/05/2000 20 Christianity PAYASAN LIANGA NA,MAYORDO
SUR SALOMON
O,
Technical-Vocational-Livelihood Track
GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of Learning
Mother's Maiden Parent or Modality
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)
SINDAY,EDNALY
Modular (print)
N,CATULINAN,
PALARAN,NARIS
PARENT Modular (print)
A,PANDI,
DE
Modular (print)
CASTRO,DAISY,,
CALAGO,LEONIL
Modular (print)
A,CAFE,
REBUYAS,ROSSA
NA,MAYORDOM PARENT Modular (print)
O,
ESPINOZA,ROSAL
Modular (print)
NA,NAVAJA,
ESPINOZA,ROSAL
Modular (print)
NA,NAVAJA,
GORGONIO,JOEC
Modular (print)
EL,CATOLINA,
DOMINGUITO,WI
LMA,URBIZTIND Modular (print)
O,
PALADO,GERALD
RELATIVE Modular (print)
NE,MEDALLA,
MORALES,FLORD
PARENT Modular (print)
ELIZ,ROBLES,
GUILLANO,JOSEP
PARENT Modular (print)
HINE,CASANE,
SURIGAO DEL QUEZADA, GORGONIO,JO
132776090100 QUEZADA,JAYMARK GORGONIO M 04/19/2004 17 Christianity POBLACION LIANGA
SUR ARNULFO CABUNAS EL,CATULINA
MISAMIS ACENAS,ROS
126265080029 PACUNIO,ROSILE ACENAS F 08/28/2002 19 Christianity BARRA OPOL PACUNIO, ROLDAN
ORIENTAL ARIE,,
19 <=== COMBINED
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 14
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 5
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date
TOTAL 19
9/13/21 12:00 AM
SINZO,ELLANITA,
Modular (print)
TEJERO,
LOPEZ,JEMALYN,
PARENT Modular (print)
DURANGO,
ACENAS,ROSEM
Modular (print)
ARIE,,
QUIJANO,ROSEM
Modular (print)
ARIE,CEBALLOS,
CASIPLE,JEANY
RELATIVE Modular (print)
ROSE,PALMA,
d by;